Endoscopic resection of third ventricle colloid cysts using an ultrasonic aspirator.
Colloid cysts
Neuroendoscopic resection
Neuroendoscopy
Oncology
Ultrasonic aspirator
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
16 Mar 2024
16 Mar 2024
Historique:
received:
28
09
2023
accepted:
14
01
2024
revised:
04
01
2024
medline:
18
3
2024
pubmed:
16
3
2024
entrez:
16
3
2024
Statut:
epublish
Résumé
An important step in the performance of endoscopic resection of colloid cysts of the third ventricle is the forced aspiration of cyst contents. The different consistencies these cysts may have can limit their complete resection and increase the likelihood of complications. The introduction of the ultrasonic neuroendoscopic aspirator allows cysts to be emptied more easily than with a conventional rigid aspirator, improving the feasibility of resection even in more solid cysts. The ability to regulate ultrasound and aspiration increases safety in a reduced and highly morbid space such as the third ventricle. Our objective was to determine the safety and efficiency of the ultrasonic aspirator for endoscopic resection of colloid cysts of the third ventricle. This was a retrospective descriptive study of patients with colloid cysts of the third ventricle undergoing neuroendoscopic resection using an ultrasonic aspirator between 2016-2023. Clinical, radiological, and procedural variables were studied. Mean, median and range were analyzed for quantitative variables and percentages and frequencies for qualitative variables. We present a series of 11 patients with colloid cysts of the third ventricle. The mean age was 44 years (27-69). All had biventricular hydrocephalus, with a mean cyst diameter of 15 mm (9-20). The lateral ventricle was accessed using the transforaminal approach in seven patients and the transchoroidal approach in three patients. All patients underwent septostomy. The mean endoscopy time was 40 min (29-68). Complete resection was possible in 10 patients. Median follow-up was 16 months (1-65) with 100% clinical improvement. At the end of follow-up, no patient had recurrence of the lesion. Based on our experience, the ultrasonic aspirator can be used safely and effectively for the resection of colloid cysts of the third ventricle, achieving high rates of complete resection with minimal postoperative complications.
Identifiants
pubmed: 38491331
doi: 10.1007/s10143-024-02293-4
pii: 10.1007/s10143-024-02293-4
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
117Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Abdou MS, Cohen AR (1998) Endoscopic treatment of colloid cysts of the third ventricle. Technical note and review of the literature. J Neurosurg 89(6)
Apuzzo MLJ, Chikovani OK, Gott PS et al (1982) Transcallosal, Interfornicial Approaches for Lesions Affecting the Third Ventricle. Neurosurgery 10(5):547–554. https://doi.org/10.1227/00006123-198205000-00001
doi: 10.1227/00006123-198205000-00001
pubmed: 7099406
Armao D, Castillo M, Chen H, Kwock L (2000) Colloid cyst of the third ventricle: Imaging-pathologic correlation. Am J Neuroradiol 21(8)
Barbagallo GM, Raudino G, Visocchi M, Maione M, Certo F (2019) Out-of-third ventricle colloid cysts: review of the literature on pathophysiology, diagnosis and treatment of an uncommon condition, with a focus on headache. J Neurosurg Sci 63(3). https://doi.org/10.23736/S0390-5616.16.03831-5
Bavil MS, Vahedi P (2007) Familial colloid cyst of the third ventricle in non-twin sisters: case report, review of the literature, controversies, and screening strategies. Clin Neurol Neurosurg 109(7). https://doi.org/10.1016/j.clineuro.2007.04.017
Beaumont TL, Limbrick DD, Rich KM, Wippold FJ, Dacey RG (2016) Natural history of colloid cysts of the third ventricle. J Neurosurg 125(6). https://doi.org/10.3171/2015.11.JNS151396
Boogaarts HD, Decq P, Grotenhuis JA et al (2011) Long-term results of the neuroendoscopic management of colloid cysts of the third ventricle: A series of 90 cases. Neurosurgery 68(1). https://doi.org/10.1227/NEU.0b013e3181ffae71
Connolly ID, Johnson E, Lamsam L, Veeravagu A, Ratliff J, Li G (2017) Microsurgical vs. Endoscopic excision of colloid cysts: An analysis of complications and costs using a longitudinal administrative database. Front Neurol 8(JUN). https://doi.org/10.3389/fneur.2017.00259
Cuoco JA, Rogers CM, Busch CM, Benko MJ, Apfel LS, Elias Z (2019) Postexercise Death Due to Hemorrhagic Colloid Cyst of Third Ventricle: Case Report and Literature Review. World Neurosurg 123:351–356. https://doi.org/10.1016/j.wneu.2018.12.057
doi: 10.1016/j.wneu.2018.12.057
pubmed: 30590211
Decq P, Le Guerinel C, Brugières P et al (1998) Endoscopic management of colloid cysts. Neurosurgery 42(6). https://doi.org/10.1097/00006123-199806000-00051
Ebel F, Greuter L, Guzman R, Soleman J (2022) Resection of brain lesions with a neuroendoscopic ultrasonic aspirator - a systematic literature review. Neurosurg Rev 45(5). https://doi.org/10.1007/s10143-022-01837-w
El Khoury C, Brugières P, Decq P et al (2000) Colloid cysts of the third ventricle: Are MR imaging patterns predictive of difficulty with percutaneous treatment?. Am J Neuroradiol 21(3)
Godano U, Ferrai R, Meleddu V, Bellinzona M (2010) Hemorrhagic colloid cyst with sudden coma. Minim Invasive Neurosurg 53(5–6). https://doi.org/10.1055/s-0030-1267232
Horn EM, Feiz-Erfan I, Bristol RE et al (2007) Treatment options for third ventricular colloid cysts: Comparison of open microsurgical versus endoscopic resection. Neurosurgery 60(4). https://doi.org/10.1227/01.NEU.0000255409.61398.EA
Ibáñez-Botella G, Domínguez M, Ros B, De Miguel L, Márquez B, Arráez MA (2014) Endoscopic transchoroidal and transforaminal approaches for resection of third ventricular colloid cysts. Neurosurg Rev 37(2). https://doi.org/10.1007/s10143-014-0529-7
Ibáñez-Botella G, Segura M, De Miguel L, Ros B, Arráez MÁ (2019) Purely neuroendoscopic resection of intraventricular tumors with an endoscopic ultrasonic aspirator. Neurosurg Rev 42(4). https://doi.org/10.1007/s10143-018-1011-8
Kasowski H, Piepmeier JM (2001) Transcallosal approach for tumors of the lateral and third ventricles. Neurosurg Focus 10(6):1–5. https://doi.org/10.3171/foc.2001.10.6.4
doi: 10.3171/foc.2001.10.6.4
Kasowski HJ, Nahed B V, Piepmeier JM (2005) Transcallosal transchoroidal approach to tumors of the third ventricle. Neurosurg 57(4 SUPPL.). https://doi.org/10.1227/01.NEU.0000176652.59747.40
Kehler U, Brunori A, Gliemroth J et al (2001) Twenty colloid cysts - Comparison of endoscopic and microsurgical management. Minim Invasive Neurosurg 44(3). https://doi.org/10.1055/s-2001-18122
Lewis AI, Crone KR, Taha J, Van Loveren HR, Yeh HS, Tew JM (1994) Surgical resection of third ventricle colloid cysts. Preliminary results comparing transcallosal microsurgery with endoscopy. J Neurosurg 81(2). https://doi.org/10.3171/jns.1994.81.2.0174
Maeder PP, Holtas SL, Basibuyuk LN, Salford LG, Tapper UA, Brun A (1990) Colloid cysts of the third ventricle: Correlation of MR and CT findings with histology and chemical analysis. Am J Neuroradiol 11(3)
Osborn AG, Preece MT (2006) Intracranial cysts: radiologic-pathologic correlation and imaging approach. Radiology 239(3). https://doi.org/10.1148/radiol.2393050823
Powell MP, Torrens MJ, Thomson JLG, Horgan JG (1983) Isodense colloid cysts of the third ventricle: A diagnostic and therapeutic problem solved by ventriculoscopy. Neurosurgery 13(3). https://doi.org/10.1227/00006123-198309000-00003
Rhoton AL (2002) The lateral and third ventricles. Neurosurg 51(4 SUPPL.). https://doi.org/10.1097/00006123-200210001-00006
Roldán Valadez E, Hernández Martínez P, Elizalde Acosta I, Osorio Peralta S (2003) Colloid cyst of the third ventricle: description of a case and review of the literature. Rev Neurol 36(09). https://doi.org/10.33588/rn.3609.2002522
Ryder JW, Kleinschmidt-DeMasters BK, Keller TS (1986) Sudden deterioration and death in patients with benign tumors of the third ventricle area. J Neurosurg 64(2). https://doi.org/10.3171/jns.1986.64.2.0216
Schroeder HWS, Gaab MR (2002) Endoscopic resection of colloid cysts. Neurosurg 51(6):1441–1444 (discussion 1444-5)
doi: 10.1097/00006123-200212000-00014
Sheikh AB, Mendelson ZS, Liu JK 2014 Endoscopic versus microsurgical resection of colloid cysts: A systematic review and meta-analysis of 1278 patients. World Neurosurg 82(6). https://doi.org/10.1016/j.wneu.2014.06.024
Staub BN, Rangel-Castilla L, Olar A, Baskin DS (2014) Olfactory colloid cyst: case report and review of extraventricular colloid cyst literature. World Neurosurg 81(1). https://doi.org/10.1016/j.wneu.2013.07.080
Tenny S, Thorell W (2019) Colloid Brain Cyst
Teo C (2008) Complete endoscopic removal of colloid cysts: issues of safety and efficacy. Neurosurg Focus 6(4). https://doi.org/10.3171/foc.1999.6.4.12
Türe U, Yaşargil MG, Al-Mefty O (1997) The transcallosal-transforaminal approach to the third ventricle with regard to the venous variations in this region. J Neurosurg 87(5). https://doi.org/10.3171/jns.1997.87.5.0706
Urso JA, Ross GJ, Parker RK, Patrizi JD, Stewart B (1998) Colloid cyst of the third ventricle: radiologic-pathologic correlation. J Comput Assist Tomogr 22(4). https://doi.org/10.1097/00004728-199807000-00004
Wen HT, Rhoton AL, De Oliveira E (1998) Transchoroidal approach to the third ventricle: An anatomic study of the choroidal fissure and its clinical application. Neurosurg 42(6). https://doi.org/10.1097/00006123-199806000-00001
Yadav YR, Yadav N, Parihar V, Kher Y, Ratre S (2015) Management of colloid cyst of third ventricle. Turk Neurosurg 25(3). https://doi.org/10.5137/1019-5149.JTN.11086-14.1